Download Grant County EMS Firehouse 5.4.98 User Manual

Grant County EMS
Firehouse 5.4.98
User Manual
Last Updated 6/24/03
Index
Adding Cities ........................................................................................................................................................ 21
Adding Streets....................................................................................................................................................... 21
Basic Form Tab....................................................................................................................................................... 2
Clinical Form Tab ................................................................................................................................................... 9
Disposition & Transport Form Tab....................................................................................................................... 13
Entering a Chart ...................................................................................................................................................... 2
Getting Started ........................................................................................................................................................ 1
Member Making Report........................................................................................................................................ 14
Officer in Charge .................................................................................................................................................. 14
Printing charts ....................................................................................................................................................... 21
Refusals................................................................................................................................................................. 18
Responding Personnel........................................................................................................................................... 16
Scene Form Tab ...................................................................................................................................................... 5
Signal 9 Runs ........................................................................................................................................................ 19
Getting Started with Firehouse
1. Login to Firehouse with your username and password. If you are unsure of your username or password,
contact your unit Firehouse administrator.
2. To begin entering an incident (chart), click on the EMS button on the toolbar.
may be located either on the top or left side of the screen.
3. You will be presented with a blank incident report screen.
The tool bar
Note: All fields highlighted in yellow are required fields and MUST be completed. When a required field
is completed, it will turn light blue. If the data entered is not correct or conflicts with the validation rules for
that field, the field will turn red.
Anytime you see this button
by a field, it indicates that a look up table is available. Click on the button
to display the list of available options. Double click on the option you wish to select.
4. The EMS Service # should default to 0332. If not you can type it in. The FDID should be E0332. The
Alarm Date will default to the system date of the computer. You can change the date on the form if
necessary. The alarm date CANNOT be a date in the future.
5. Enter the alarm time as the time the call was received.
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6. The incident number must be a 9 digit number. It is determined as follows:
Digit Value
Example
1-2
Current year 01 for 2001
3-4
Unit #
09 for Medic 9, 14 for Medic 14 etc.
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Pt. Contact
0 for NO pt. contact. 1 if there IS pt. contact.
6-9
County Run# 1467, this number is assigned by the dispatch sheet
7. After entering the incident number, press the tab key. You will be asked if you want to create a new
record in EMS/Search & Rescue Incident Reports? Click on the Yes button.
Entering an incident report when there is patient contact
Entering data in the Basic form tab
1. You will now be given a blank form to begin entering the basic scene information located in the bottom
two-thirds of the form. Do NOT enter any information under Occupancy ID.
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2. Select the Address Type.
Address Type
Used For
Street Address
Exact address such as a house address. Ex. 1254 S. Branson
Intersection
Intersection of two streets. Ex. N. Main & E. Anson
Rural/Directions
Ex. I-69 52 Mile Marker North bound lane
The required data fields will change dependant upon the address type selected.
Entering a street address
1. Enter the address numericals in the Number field.
2. Click on the lookup button to display the street listing table.
3. Scroll through the list until you find the correct street/road along with the appropriate prefix and
type. Click on the street/road you want, then click the OK button. You can also double click on the
selection you want. You MUST select a street/road from this list. You cannot type in a street not
already stored in the table. If you do not find the street/road you need, please refer to the section on
adding streets/roads.
4. Click on the lookup button to display the listing of cities.
5. Select the city by either highlighting your choice then clicking on OK or by double clicking on your
choice. If the city you need is not listed, refer to the section on adding cities.
Entering an intersection address
1. Select the Intersection option for the Address Type
2. For entering the street information for both streets, follow steps 2 & 3 under Entering a street
address
3. For entering the city, follow steps 4 & 5 under Entering a street address
Entering rural directions
1. Select the Rural/Directions option under Address Type
2. Type the appropriate information in the Directions field. For example “I-69 55 mile marker south
bound lane.”
3. Enter the type of call under Dispatched For field. This field will “remember” any entries you make and
add them to the look-up table.
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4. Enter the Type of Service Requested. If you know the code you can enter it directly without using the
look-up table.
Code
1
2
3
4
5
8
9
Description
Scene
Unscheduled Interfacility Transfer
Scheduled Ineterfacility Transfer
Standby
Rendezvous
Not Applicable
Unknown
5. Next enter the information under the Additional Dates and Times. If you click in the small white box
to the left of the various date fields, the program will automatically fill the box with the Alarm Date.
6. Enter the Station. This value is your unit number. (i.e. 09 for Medic 9). Enter the District location of
the run (i.e. 08 for if the run is in Medic 8’s area). Leave all other fields blank. Below is a sample of a
completed form.
You are now ready to begin entering information into the Scene form.
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Entering data in Scene Form
1. After entering the information on the Basic form, you can now enter information on the Scene form. To
bring the Scene form to the front, click on the Scene tab at the top left.
The following screen will be displayed.
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2. Enter the location type. Again you can use the lookup button or enter the code directly into the field.
Code
00
01
02
03
04
05
06
07
08
09
10
99
Description
Home/Residence
Farm
Mine or Quarry
Industrial Site
Street or Highway
Public Building
Recreational Site
Residential Site
Educational Site
Extended Care Facility
Hospital or Clinic
Not Applicable
3. Do not enter anything in the Property Ownership field.
4. In the #Patients/Victims field enter the number of patients at the scene.
5. Click on the Add button to add patient information.
Entering Patient Information
1. Enter the patient’s last name in the field Last Name. When you press the tab key to advance to First
Name, a pop-up window will be displayed if there are any previously entered patients with the same last
name. If you have transported the patient before, just highlight his/her name and click OK. All other
patient information will be automatically completed. Double check the DOB on the patient you select.
2. In necessary enter the patient’s First Name
3. Entering a middle name or initial will help in selecting a previously entered patient.
4. Enter the vehicle certification # in the Unit field. This is four digit number on the ambulance.
5. Enter the patient’s address. If the address is the same as the scene, you may click on the check box and
it will automatically complete the fields.
6. Next enter the patient’s primary physician. This field will remember all previous entries and will
compile a lookup table as data is entered.
7. Complete the fields in the Description area of patient information.
8. To add a phone number click on the + button to the right of the field.
Below is a sample of a completed patient information form.
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9. Next, click on the Response file tab.
10. This is the screen where you enter all of your times from the dispatch slip. When entering times be sure
to enter 01:00 for 1:00. Remember when you see this button
, you may click on it to look up valid
values for that particular field. A completed Response screen might look like this.
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11. Once completing the response information, click on the Scene tab to bring that form forward.
12. Enter the appropriate information in the Initial Observed Condition field.
13. Tab to the Injury or Illness field and use the pull-down arrow to select the proper option. The option
chosen will determine the required fields in the clinical section.
14. Be sure to list a Chief Complaint as well as complete all appropriate fields. Entering data in the Chief
Complaint field will add the entry to a look up table for future reference.
15. Complete the Signs & Symptoms section. To add an entry click on the + button, then click on the
button under the ?. This will display a list of possible options to enter.
Below is a sample of a completed scene form
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16. Next select the Clinical tab
17. Under the EMS Provider Level, enter a “D” for the Initial level.
18. Enter the highest level provided, “D” for EMT-D or “P” for Paramedic
NOTE: You MUST enter “P” if you had paramedic assistance.
19. Complete the onset date and time.
20. Select the appropriate options for Provider Impression and Mechanism of Injury/Nature of Illness
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21. Click on the best option for Past Patient History & Alerts. If you click on the “Yes” option, a pop-up
screen will open allowing you to indicate past medical history.
22. To add an entry, click on the + then the
under the ?. If you wish to enter comments about a
particular entry, highlight that entry and then type in the box below.
23. After entering all of the history you must click on the Save button. When the save operation is
complete the window will close.
24. If required, click on the Injury Matrix button (It will be red if it is required). This will display the
injury matrix, similar to the paper charts.
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25. Click on the appropriate boxes, indicating where the injuries are located. Click on the Save button to
save the information. The Cancel button will change to Close once the save operation is complete.
Click on the Close button to close the window and return to the Clinical screen.
26. Next you need to enter the information required under Assessments and Treatments button. This is the
section where you enter vitals. When you click on the Assessments and Treatments button, a small
pop-up window will appear listing several options. Use the Procedure button to list equipment used
(i.e. oxygen, backboard, combitube, etc.) Use the Medication button if pt. was given BLS meds.
27. Click on the Vitals/Assessment button to display the form for entering patient vitals. Below is a
sample. After completing the basic page, click on the Secondary tab.
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28. The B/P, pulse etc. are entered under the Secondary tab. Below is an example of a completed form.
Remember you can click on the
button to display valid options.
29. If there needs to be additional comments directly related to the vitals, these can be made under the notes
tab. After everything is entered click on the save tab.
30. After the save function is complete, click on the close tab. After clicking on the close tab the screen will
look like this.
31. Click on the Procedure button to enter ALL procedures performed. For example C-spine, O2 etc.
32. Click on the Medication button to enter any medications given.
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33. Next, click on the Disposition & Transport tab.
34. Below is a sample of a completed form.
35. To enter a valid code for Initial Destination/Facility Code use the lookup button. When the lookup
window is displayed, click on the Description bar to display the facility codes in alphabetical order.
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36. Scroll down to find the facility and double click to select it.
37. When all the information is completed click on the Patient Narrative tab to enter the narrative.
38. Once the patient narrative is completed, click on the Other tab.
39. You must make two entries under Report Authorization. One for Officer in Charge and Member
Making Report.
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40. To add an entry, click on the Add button. This window will be displayed.
41. Under Authorization Type enter “OC” for Officer in charge.
42. Enter the date and time of the report.
43. Select the Staff ID of the person making the report. This will usually be the head EMT on the run.
44. If the officer in charge is the same individual who is making the report, check the box in the lower left
hand corner and an entry for member making report will be added automatically with the individual
listed as officer in charge
45. Click the Save button to save the entry.
46. If the individual is different than officer in charge, click the New button to display a blank form.
47. Under Authorization Type enter “MM” for member making report.
48. Repeat steps 41 – 43.
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49. Once the save procedure is complete, click on the Close button.
50. Next, click on the Save button at the bottom of the screen. The spell checker will check the patient
narrative for misspelled words.
51. When the save operation is complete, click on the close button.
52. You will be returned to the main incident reporting screen.
Responding Personnel
To report the personnel who were on the run, follow these instructions.
1. At the main incident reporting screen, click on the Additional Reports tab.
2. Click on the Personnel & Activities.. button. The following screen will be displayed.
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3. In the Default Activity Code enter “MX”.
4. Click on the Add button add personnel to the run chart. The screen to add personnel will be displayed.
5. Enter the ID number for the first person in the Staff ID field or use the lookup function to select the
individual from the roster.
6. Click on the Save button.
7. After the save function is complete, click on the New button to display a blank form to enter the next
individual.
8. Repeat steps 5 – 6 until all personnel are listed. When everyone is listed, click on the Close button.
9. When you are returned to the Staff Activity screen, click on the Save button at the bottom of the screen.
10. When the save operation is complete, this screen will be displayed. Click on the Close button to return
to the main screen.
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11. When you are returned to the main screen, click on the Save button to save the entire incident. If there
are any errors, i.e. required information missing, you will receive an error message alerting you as to
what is missing. Correct those errors and save the incident.
12. After the save operation is complete with no errors, click on the Close button to close the form.
13. Exit Firehouse and shut down the laptop.
Entering a Chart for a Refusal
1. Follow steps 1 – 7 for starting and logging into Firehouse. (Pgs. 1-2)
2. Complete the report as you would if you were transporting the patient with the following exceptions.
Complete a patient narrative documenting all that transpired including refusal information. Also
complete the entries for member making report and officer in charge.
3. Under the Response tab you only need to complete the required date and time fields.
4. Under the Disposition & Transport tab for patient information, complete the form as shown below.
5. Have patient sign the refusal form provided by GCEMS.
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6. Be sure to document all information.
Charting a Signal 9 run with no patient contact
1.
2.
3.
4.
Follow steps 1 – 7 for starting and logging into Firehouse. (Pgs. 1-2)
Remember to use 0 as the 5th digit in the incident number. (Pgs. 2-4)
Follow steps 1 – 6 for completing the Basic tab.
Click on the No Patient box
5. Next, click on the Additional Reports tab.
6. Click on the Responding Units button. This window will be displayed.
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7. Click on the Add button to add your unit.
8. Enter your truck number for the Unit Code
9. Click on the Save button then the Close button when the save operation is complete.
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10. When returned to the Responding Units screen, click on the Close button. You will be returned to the
Additional Reports form.
11. Click on the Personnel & Activities button and follow steps 3 –13 for entering responding personnel.
Adding streets to the look up table
1. If a street is not listed in the look up table, click on the new button to add it to the list. Before adding a
street, be very sure that it is not listed with a prefix (i.e. N or W).
2. Enter the appropriate information and then click on the save button.
3. You then will be able to select it from the list.
Adding a city to the lookup table
1. If a city is not listed in the look up table, click on the new button to add it to the list. Before adding a
city, be very sure that it is not.
2. Follow the same steps for adding a street to the street lookup table.
Printing a chart
Note: All charts MUST be printed (This includes signal 9 charts).
1. Once the chart is completed, click the on the save button to be sure the entire chart is saved.
2. Be sure the computer is connected to the printer. Then click on the print button.
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This popup menu will be displayed.
3. Select the option of “Select Printer” to choose the printer you want to use.
4. Print 3 copies if you transported a patient or 2 copies if you did not or it is a signal 9 chart.
5. This menu will be displayed.
6. After clicking OK this screen will be displayed. Only the reports checked in the example should be
printed. DO NOT change any information, just click on the “OK” button. If you entered a Main
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Incident Narrative (This is not the same as the patient narrative), check the box and the Main Incident
Narrative will print with the rest of the chart.
7. Sign each copy.
Chart Distribution
Marion General Hospital
1. Copy 1 to ER admitting
2. Copy 2 to the ER nurses station. Use the Right mail box located on the curved part of the
counter as you enter ER
3. Copy 3 is kept by the EMS unit
Other Hospitals
1. Copy 1 goes to the ER
2. Copy 2 is kept in the unit and placed in the bottom mail box in the Ambulance Office at Marion
General.
3. Copy 3 is kept by the EMS unit.
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